Epileptic Spasms and Partial Seizures as a Single Ictal Event
Purpose: To investigate the phenomenon of epileptic spasms (ESs) associated with other seizure types in a single ictal event and to study the predictive value of this phenomenon regarding etiology and prognosis. Methods: We selected retrospectively eight female and five male patients, who had ESs an...
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| Veröffentlicht in: | Epilepsia (Copenhagen) 2003-05, Vol.44 (5), p.693-700 |
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| creator | Pachatz, Christa Fusco, Lucia Vigevano, Federico |
| description | Purpose: To investigate the phenomenon of epileptic spasms (ESs) associated with other seizure types in a single ictal event and to study the predictive value of this phenomenon regarding etiology and prognosis.
Methods: We selected retrospectively eight female and five male patients, who had ESs and other seizure types within a single seizure event and for whom a video‐EEG recording of the phenomenon was performed in at least one situation.
Results: The seizure type associated with ESs was a partial seizure in all patients. We identified three groups with different seizure patterns regarding the temporal association of ES and partial seizures (PSs): (a) PS followed by ES; (b) PS appearing during a cluster of ESs without interrupting the cluster; and (c) complex seizure interaction with a succession of ESs and PSs in a close but variable temporal association. Underlying disorders included cortical dysplasia (three patients), complex cerebral malformations (two patients), and perinatal anoxic–ischemic injuries (two patients); four cases were classified as cryptogenic, and in two children, etiology was unknown, but prenatal origin was suspected. Outcome was poor in nine cases with intractable epilepsy; four cases had a favorable outcome, defined as complete cessation of epileptic seizures.
Conclusions: The phenomenon of associated ESs and PSs as a single ictal event can be related to different etiologies and should not be considered distinctive for cortical malformations or severe brain damage. Different seizure patterns of associated ESs and PSs provide no hint for etiology or prognosis. Outcome is prevalently but not constantly unfavorable in patients with the phenomenon. |
| doi_str_mv | 10.1046/j.1528-1157.2003.25102.x |
| format | Article |
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Methods: We selected retrospectively eight female and five male patients, who had ESs and other seizure types within a single seizure event and for whom a video‐EEG recording of the phenomenon was performed in at least one situation.
Results: The seizure type associated with ESs was a partial seizure in all patients. We identified three groups with different seizure patterns regarding the temporal association of ES and partial seizures (PSs): (a) PS followed by ES; (b) PS appearing during a cluster of ESs without interrupting the cluster; and (c) complex seizure interaction with a succession of ESs and PSs in a close but variable temporal association. Underlying disorders included cortical dysplasia (three patients), complex cerebral malformations (two patients), and perinatal anoxic–ischemic injuries (two patients); four cases were classified as cryptogenic, and in two children, etiology was unknown, but prenatal origin was suspected. Outcome was poor in nine cases with intractable epilepsy; four cases had a favorable outcome, defined as complete cessation of epileptic seizures.
Conclusions: The phenomenon of associated ESs and PSs as a single ictal event can be related to different etiologies and should not be considered distinctive for cortical malformations or severe brain damage. Different seizure patterns of associated ESs and PSs provide no hint for etiology or prognosis. Outcome is prevalently but not constantly unfavorable in patients with the phenomenon.</description><identifier>ISSN: 0013-9580</identifier><identifier>EISSN: 1528-1167</identifier><identifier>DOI: 10.1046/j.1528-1157.2003.25102.x</identifier><identifier>PMID: 12752469</identifier><identifier>CODEN: EPILAK</identifier><language>eng</language><publisher>Boston, MA, USA: Blackwell Science Inc</publisher><subject>Adolescent ; Biological and medical sciences ; Cerebral Cortex - abnormalities ; Cerebral Cortex - physiopathology ; Child ; Child, Preschool ; Diagnosis, Differential ; Dominance, Cerebral - physiology ; Electroencephalography ; Epilepsies, Partial - diagnosis ; Epilepsies, Partial - etiology ; Epilepsies, Partial - physiopathology ; Female ; Follow-Up Studies ; Headache. Facial pains. Syncopes. Epilepsia. Intracranial hypertension. Brain oedema. Cerebral palsy ; Humans ; Hypsarrhythmia ; Infant ; Infant, Newborn ; Infantile spasms ; Male ; Medical sciences ; Nervous system (semeiology, syndromes) ; Neurology ; Partial seizures ; Spasms, Infantile - diagnosis ; Spasms, Infantile - etiology ; Spasms, Infantile - physiopathology ; Video‐EEG</subject><ispartof>Epilepsia (Copenhagen), 2003-05, Vol.44 (5), p.693-700</ispartof><rights>2003 INIST-CNRS</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c5412-6df2926ad9b2971016e3217c0994c2e15bc1d72dd39aedb53382fb3f78add2db3</citedby><cites>FETCH-LOGICAL-c5412-6df2926ad9b2971016e3217c0994c2e15bc1d72dd39aedb53382fb3f78add2db3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1046%2Fj.1528-1157.2003.25102.x$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1046%2Fj.1528-1157.2003.25102.x$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,776,780,1411,1427,27901,27902,45550,45551,46384,46808</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=14794601$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/12752469$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Pachatz, Christa</creatorcontrib><creatorcontrib>Fusco, Lucia</creatorcontrib><creatorcontrib>Vigevano, Federico</creatorcontrib><title>Epileptic Spasms and Partial Seizures as a Single Ictal Event</title><title>Epilepsia (Copenhagen)</title><addtitle>Epilepsia</addtitle><description>Purpose: To investigate the phenomenon of epileptic spasms (ESs) associated with other seizure types in a single ictal event and to study the predictive value of this phenomenon regarding etiology and prognosis.
Methods: We selected retrospectively eight female and five male patients, who had ESs and other seizure types within a single seizure event and for whom a video‐EEG recording of the phenomenon was performed in at least one situation.
Results: The seizure type associated with ESs was a partial seizure in all patients. We identified three groups with different seizure patterns regarding the temporal association of ES and partial seizures (PSs): (a) PS followed by ES; (b) PS appearing during a cluster of ESs without interrupting the cluster; and (c) complex seizure interaction with a succession of ESs and PSs in a close but variable temporal association. Underlying disorders included cortical dysplasia (three patients), complex cerebral malformations (two patients), and perinatal anoxic–ischemic injuries (two patients); four cases were classified as cryptogenic, and in two children, etiology was unknown, but prenatal origin was suspected. Outcome was poor in nine cases with intractable epilepsy; four cases had a favorable outcome, defined as complete cessation of epileptic seizures.
Conclusions: The phenomenon of associated ESs and PSs as a single ictal event can be related to different etiologies and should not be considered distinctive for cortical malformations or severe brain damage. Different seizure patterns of associated ESs and PSs provide no hint for etiology or prognosis. Outcome is prevalently but not constantly unfavorable in patients with the phenomenon.</description><subject>Adolescent</subject><subject>Biological and medical sciences</subject><subject>Cerebral Cortex - abnormalities</subject><subject>Cerebral Cortex - physiopathology</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>Diagnosis, Differential</subject><subject>Dominance, Cerebral - physiology</subject><subject>Electroencephalography</subject><subject>Epilepsies, Partial - diagnosis</subject><subject>Epilepsies, Partial - etiology</subject><subject>Epilepsies, Partial - physiopathology</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Headache. Facial pains. Syncopes. Epilepsia. Intracranial hypertension. Brain oedema. Cerebral palsy</subject><subject>Humans</subject><subject>Hypsarrhythmia</subject><subject>Infant</subject><subject>Infant, Newborn</subject><subject>Infantile spasms</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Nervous system (semeiology, syndromes)</subject><subject>Neurology</subject><subject>Partial seizures</subject><subject>Spasms, Infantile - diagnosis</subject><subject>Spasms, Infantile - etiology</subject><subject>Spasms, Infantile - physiopathology</subject><subject>Video‐EEG</subject><issn>0013-9580</issn><issn>1528-1167</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2003</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNkFFLwzAQgIMobk7_gvRF31qTS9s0L4qMqoOBg-lzSJNUOtquNq1uPgn-U3-J7VbYq3Bwx913yfEh5BDsEeyHNyuPBBC5hATMA4ypBwHB4G2O0HgYhOwYjTEm1OVBhEfozNoVxpiFjJ6iEQEWgB_yMbqLqyw3VZMpZ1lJW1hHltpZyLrJZO4sTfbV1qZrduEss_ItN85MNTL__f6JP0zZnKOTVObWXAx5gl4f4pfpkzt_fpxN7-euCnwCbqhT4BBKzRPgjGASGgqEKcy5r8CQIFFEM9Cacml0ElAaQZrQlEVSa9AJnaDr_btVvX5vjW1EkVll8lyWZt1awShE2AfegdEeVPXa2tqkoqqzQtZbQbDo5YmV6B2JXp7o5YmdPLHpVi-HP9qkMPqwONjqgKsBkFbJPK1lqTJ74HzG_bBzPkG3e-6zc7v99wEiXsx2Jf0D7mGKMw</recordid><startdate>200305</startdate><enddate>200305</enddate><creator>Pachatz, Christa</creator><creator>Fusco, Lucia</creator><creator>Vigevano, Federico</creator><general>Blackwell Science Inc</general><general>Blackwell</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>200305</creationdate><title>Epileptic Spasms and Partial Seizures as a Single Ictal Event</title><author>Pachatz, Christa ; Fusco, Lucia ; Vigevano, Federico</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c5412-6df2926ad9b2971016e3217c0994c2e15bc1d72dd39aedb53382fb3f78add2db3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2003</creationdate><topic>Adolescent</topic><topic>Biological and medical sciences</topic><topic>Cerebral Cortex - abnormalities</topic><topic>Cerebral Cortex - physiopathology</topic><topic>Child</topic><topic>Child, Preschool</topic><topic>Diagnosis, Differential</topic><topic>Dominance, Cerebral - physiology</topic><topic>Electroencephalography</topic><topic>Epilepsies, Partial - diagnosis</topic><topic>Epilepsies, Partial - etiology</topic><topic>Epilepsies, Partial - physiopathology</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Headache. Facial pains. Syncopes. Epilepsia. Intracranial hypertension. Brain oedema. Cerebral palsy</topic><topic>Humans</topic><topic>Hypsarrhythmia</topic><topic>Infant</topic><topic>Infant, Newborn</topic><topic>Infantile spasms</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Nervous system (semeiology, syndromes)</topic><topic>Neurology</topic><topic>Partial seizures</topic><topic>Spasms, Infantile - diagnosis</topic><topic>Spasms, Infantile - etiology</topic><topic>Spasms, Infantile - physiopathology</topic><topic>Video‐EEG</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Pachatz, Christa</creatorcontrib><creatorcontrib>Fusco, Lucia</creatorcontrib><creatorcontrib>Vigevano, Federico</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Epilepsia (Copenhagen)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Pachatz, Christa</au><au>Fusco, Lucia</au><au>Vigevano, Federico</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Epileptic Spasms and Partial Seizures as a Single Ictal Event</atitle><jtitle>Epilepsia (Copenhagen)</jtitle><addtitle>Epilepsia</addtitle><date>2003-05</date><risdate>2003</risdate><volume>44</volume><issue>5</issue><spage>693</spage><epage>700</epage><pages>693-700</pages><issn>0013-9580</issn><eissn>1528-1167</eissn><coden>EPILAK</coden><abstract>Purpose: To investigate the phenomenon of epileptic spasms (ESs) associated with other seizure types in a single ictal event and to study the predictive value of this phenomenon regarding etiology and prognosis.
Methods: We selected retrospectively eight female and five male patients, who had ESs and other seizure types within a single seizure event and for whom a video‐EEG recording of the phenomenon was performed in at least one situation.
Results: The seizure type associated with ESs was a partial seizure in all patients. We identified three groups with different seizure patterns regarding the temporal association of ES and partial seizures (PSs): (a) PS followed by ES; (b) PS appearing during a cluster of ESs without interrupting the cluster; and (c) complex seizure interaction with a succession of ESs and PSs in a close but variable temporal association. Underlying disorders included cortical dysplasia (three patients), complex cerebral malformations (two patients), and perinatal anoxic–ischemic injuries (two patients); four cases were classified as cryptogenic, and in two children, etiology was unknown, but prenatal origin was suspected. Outcome was poor in nine cases with intractable epilepsy; four cases had a favorable outcome, defined as complete cessation of epileptic seizures.
Conclusions: The phenomenon of associated ESs and PSs as a single ictal event can be related to different etiologies and should not be considered distinctive for cortical malformations or severe brain damage. Different seizure patterns of associated ESs and PSs provide no hint for etiology or prognosis. Outcome is prevalently but not constantly unfavorable in patients with the phenomenon.</abstract><cop>Boston, MA, USA</cop><pub>Blackwell Science Inc</pub><pmid>12752469</pmid><doi>10.1046/j.1528-1157.2003.25102.x</doi><tpages>8</tpages><oa>free_for_read</oa></addata></record> |
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| subjects | Adolescent Biological and medical sciences Cerebral Cortex - abnormalities Cerebral Cortex - physiopathology Child Child, Preschool Diagnosis, Differential Dominance, Cerebral - physiology Electroencephalography Epilepsies, Partial - diagnosis Epilepsies, Partial - etiology Epilepsies, Partial - physiopathology Female Follow-Up Studies Headache. Facial pains. Syncopes. Epilepsia. Intracranial hypertension. Brain oedema. Cerebral palsy Humans Hypsarrhythmia Infant Infant, Newborn Infantile spasms Male Medical sciences Nervous system (semeiology, syndromes) Neurology Partial seizures Spasms, Infantile - diagnosis Spasms, Infantile - etiology Spasms, Infantile - physiopathology Video‐EEG |
| title | Epileptic Spasms and Partial Seizures as a Single Ictal Event |
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